Project GO! » Application For Youth Organizations

Organization

Program Name (if applicable)

Primary Contact's Name

Address

Street Address

City

State

Postal / Zip Code

Primary Phone - (###) - ### ####

Alternate Phone - (###) - ### ####

Primary Contact's Email

Organization's Web Site

Add to Website? Yes, we would like our organization added to the Project GO website

Tell us about your organization and/or program. What is your mission?

Please describe the demographics of participants.

What percentage of participants qualify for reduced price or free school lunches?

Will participants in this program participate in other outdoor activities within three months (before or after) of this one?

Please describe any "yes" answer to the last question.

What do you hope will be achieved through participation in our whitewater program? Improve individual resiliences Improve self-confidence Learn cultural history Improve teamwork & communication skills Learn natural history Have a fun and rewarding experience

Please elaborate on things you hope to achieve through participation in our whitewater program.

How will your group travel to our program location?

Indicate the program(s) your group is interested in. If you would like more information about the different levels please contact us. Level 1 Rafting
Single day class III raft trip on the "Gorge" of the South Fork of the American River. Trip includes facilitated activities in the morning and emphasizes teamwork, communication, and heathy evaluation of risk-taking. Level 2 Rafting
Single day class III raft trop on the "Chili Bar" of the South Fork of the American River. This is a somewhat more advanced strech of river, and is suggested only for organizations that have previously completed our Level 1 program. Participants will have a more active role in the actual trip, and will learn and practice the basics of guiding and river rescue. This program picks up where level 1 leaves off, and has a strong emphasis on self-confidance, resilience, and reliance through facing risk and overcoming challenge. Level 3 Rafting / Camping
Overnight, self-supported class III river trip, including both the "Chili-Bar" and the "Gorge" sections of the South Fork American River. Participants will have an active role in all aspects of the trip, including planning, meal preparation, and the like. Participants will create an "action plan" to achieve a personal or group goal. Program must have completed a level 2 trip during the same season.

First date choice / MM / DDYYYY

Second date choice / MM / DDYYYY

Third date choice / MM / DDYYYY

How many youth (age 13 - 21) will be participating?

How many chaperones will be participating?

How many guests / other will be participating?

Please describe any guest / other participants.

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Application For Youth Organizations

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